Medical school: AT STILL UN OF HLTH SCIENCES, COL OF OSTEO MED, MESA
Graduated: 2022
NPI: 1821747635
Practice Locations (2)
2108 E THOMAS RD, SUITE 130
Phoenix, AZ 850167761
2108 E THOMAS RD, SUITE 130
PHOENIX, AZ 850160008
Source: CMS National Downloadable File, September 2026.